HomeMy WebLinkAboutContract 176730
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EXTENSION OF CITY S�CRETARY
CONTRACT N0. 17096
STATE OF TEXAS §
COUNTY OF TARRANT §
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WHEREAS, o�. January 1, I9$9, the City of Fo�t Worth ("City")
and underwriters Adjusting Company ("UAC") entered into City
Sec��tary Contract No. 17096, under the terms of which UAC
administers the Workers' Cornpensation Benefii Plan of the City o�
Fort Worth, which contract .is on file in the offi.ce of the City
Secretary of�the City of Fort Worth; and
WHEREAS, on December 11, 1989, the City and IIAC entered into
City S�cretary Contract No. 17531, which con�ract amended said
Ci�y S�cretary Contract No. 17096, to provide additional services
in the foacm of MEDATA services pursuan.t to M&C C-1.1883; and
WHEREAS, the term o� City 5ecretary Contract No. 1709b, as
amended by City Secretary Contract No. 17531, began January �,,
1989, and ended at 12:Q1 A.M. January lr 1990, with an option tQ
r�ne�r for a one-year period beginning at 12:01 A.M., January 1,
1990; and
WHEREAS, on DeCeznber 19, 1989, the City Council of the City
of Fort�Worth, in M&C C�12U51, approved the exercise of this
option to renew; and
WHEREAS, the City desires to ent�r into a contract ta renew
City Secretary Contract No. 17096, a5 amended by City Secretary
Contract No. 17531, according to the terms for r�n�wal set out in
Section C of said contract; ^_ �
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NQW, TH�REFORE, KNOW ALL MEN BY THESE PRESENTS: ,�p� ������g��
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Tha� the City of Fort Worth. a Texas �nunicipal corporati.on.,
acting by and through its duly authorized City Manag�r, David A.
Ivory, and Underwxite�s Adjusting Company, a Texas corporation,
acting by and through its duly authorized Regional Vice
Presid�nt, Floyd I. Koslan, do hereby agree as follows:
l.
City hereby exercises its option to renew City Secre�ary
Contract No. 17096, as amended by City Secretary Contract
No. 1753�, far the period beginning at 12:01 A.M., January 1,
1990, and ending at 12:01 A.M., January 1, 1991, which contract
is incorporated her�in by reference and made a part of this agr���
men� for a11 purposes.
2.
As they are set out in City Secretar� Contract No. 1709&, as
amended by Ciiy Sec�etary Contract No. 17531, payment for ser�
vices rendered during the period o� this agreement shall be
accordi.ng to the following 5ch�dul�:
No Claim Reports $ 25.00 each
Medica]. 4nly Claims $
Indemnity (Lost Time Claims Requiring
Ind�mnification) $
Canversion (From a No-Clairn Report
to a Medical Only Claim)
Conversion (From a NvaClaim Report
to an Inde�nnity C1aim)
Conversion {From a Medical Only
C1aim to an indemnity Claim)
Pre�Hearings
Administrative Services
$
63.00 each
330.00 each
38.00 each
$ 305.00 each
$ 267.00 each
$ 155.00 each
$1,083.33 per month
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Rehabilitation
e
$ 5F . 0�0 per hour*
Cornputerized Aud.it (MEDATA) and
Analysis of all Medical Bi11s
(See Paragraphs 25 �hrau.gh
29 of General Condi.tians)
$ 3.00 per audited
bi�.1 plus 7� of
bill reduCtion
(See speci�iGally
Paragraph 28, General
Conditions.)
�(The City CounCi�. has auihorized and UAC has agreed to this
cost fio� Rehabiiitatior� Services during �he 1590 year.)
3.
All other terms and conditions of City Secretary Cont�act
No. I7�96, a� amended by City Secretary Contract Na. 17531r not
sp�cifiically amended by this agreement shall �emain in fu11 farce
and effect.
IN WITNESS WHEREOF, the parties have �xecuted this agreement
in multipZes this OC O day of ���.P.f� , 1990, in
Fort Warth, Tarrant County, Texas.
ATTEST: CITY OF FORT WORTH
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By . .. � �. �,�
RIIT HQWARD, City Secr�tary �iwDAVTD A. IVQRY, City Manager
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APPROVED A� T� FORI�I Al�]D LEGAL2TY:
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'�{-� City A'Etorney
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UNDERWRITERS ADJUST�NG PANY
By : �. '��-� �
FLOYD I.�O�SLAN, Regional
Vice Pre�ident
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kFFEREF�CE su��ecrC{1NrkA�7 F��NEWFtiL 4�aTl�
�""'��� ��VDC��lRITERS 14UJUS�If�� COMP�1h6Y
*��-����r r-or� cl���� rror��c���� cor��E��x�rrnrr
ci.�rr�� +��,�u�Ti�ac s�i�vic�
' �EC���EMENE?��IOi�:
�t i s reco��cn�e� that th� Ci t�y LOk3Tl�1 �;
pmGE
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1. Ap�r�ve Underwri��r� Ar.ijus#�ing Campan� as the prnvider �or clairrrs acE,��sC,
ir�� servzce for th� �ity's i�ork�rs' C��r��ensai3or� Progr•am �Fc�r tl�e ��eriod
Januar� 1, 1990 t� ,�an�ary �, 1���; ar�d
�_ Au�horize Che ��ty Nqan�ger C� �xe�u�� Clte fars� of t�o �r��iona� �r�e-�ye�r
rer��wal �ontrac� 5 wi th C�� s�i �in f{�r tite peri a� Jan�ary �. k�9�{l, to
Jar�u�ry �, 19�1. Ti�e �stfrna��d cost far Lhis service �or �9��1, b�,s�� on
Un��r�ri��rs Ad,���st7�7g Cc��r��rany I��id�, w� I1 b� approxi�na��ly ���{],Q�]0.
�]15C1355��1�:
Sinc� J�nuary .[, �9�i�S, wnrk���s' cc�r�k��ns�t�ur� cla�ms adjusti�tg s��~vice�
�a�e b��n �ravide� to th� Ci*y b� Ur�cierw�it��rs A�ij�sCir�g C�mpar�,y. During
19�3�3, ��he CiCy �onducC�d ��c���et��ive bi�J prr�c�ss For thi� ser+riC� �nd
Ur�derwr���rs Adju�t�nc� Com���n� was auard�d t�e cc��tra�C for �he per�od
,�an4kary i, 1��i�, 1;0 �a�,�ar,y 1, �990. �`h� b�d suhmit��� by Unc#erv�r-�t�r�
Ad,��a�ting Ccxn�any, p�r Cii:y sp�ciFications, proviclea f��t fanly terms for �CMe
pertod J�nu�ry 1, f9�,9, t� Janu�r`,y ]., 1.��0� a�rk: a�so prov�ded terms fr�r tv�o
s�yp�rate s1�b��q��r1� �n�-y�ar r�newal peri��,�i�. 'fh2 ��rr�n� [:�ty coniract w�th
Underwri [aT� A�j��t i ri� Ca��any �rov�de� :�or tw� se�arat� suhsey���rrh �arr�-,yea�-
re�ewal pertvds �t tY�e �it,y"� opCion,
E�ur�ng 1�$�, thc cor��ract with Unc�er�rrit�rs A�;ju�L7r�y Ccamp-r,r�y �as air��r�d�rJ
(MB�C C-�1883j t� ��� tl�� addit�anal �ervice o!' c�m�ut�r��zed �udrC of inedica�
b� � � s. �t� � s can't��act� ar��r�dme�t s�akes Ch� cost �f this addii,a�r�al s�rv��e
w�'I�E r��C ch�+�c�� d�r�r�� �it�her of the t�pt�t��7a1 o��-y��r renewa� periods.
Fh� �e�for��x�nc� of llnaerwr3t�rs Js,�i„��s�ing Com�any h�s ��er� excel�ent. To
cor��in�� ��i�izing the serv��e of th�s fir� wo€�ld assure t#�e Cit�+ �f �tig�r
I t.l�alit,y cla��ns ad,��ask:�+�g �Qrvic�s ta minir�ize CiL}� �aid �oss�� durirrc� t'k��
n�xt ,ye�,r.
Fees Fa�• ]9�(} wer�� pro�vi+��d
proces� �nd t�,e 1�8} can�rac�G
contract are a� fb]l�ws:
�Ic� �:1 a��u �eport�
?�1ec�i��� Or�],y Clai�s
b�+ �irtderwriters Adjus�.�r�g �om�an�+ in I,��e 19�8 b�d
a��ndinen�. TY�e�se fees �ta�ed �� ihe �ur��r��
I i7d e� n i ty
(La�t Time C7aim� Requir`iny Indemr��fica�7�n�
$ �5.00 eaci�
� 63.i3� e�ch
$ 330,00 eacM
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g,��� RfFF.RF�i".L -�il�i�Ll;i COSJTI�ACT ��r�r�r�a� w�r��i
i +��r�aere UN�1�#2WRIT�f�$ F�DJU�7lNG C�M�ANY
X���9-$9 **C=1���1 FOr� Ci�rY"� W�IZK�l�S` CO#��Err.5,4Tl0�1
— -- -CLRIMS �1C]JUSTIN���Ef�UlCE-----
Con�+c�'s��n
�Fro�t � N� �Glaim i��p��t Ea a Medical �r�l,y C�aifn�
Co��e�s��n
��ram �. fJa �lafrn �ep�art tc� �rr �rrcJ�mk�i�y �l�im�
��nver�i�n
�Fr�a� � PSedical �]n�y ��ai�n to arr Sn��ar�r�ity �la�r��
�r�-w�e�r� rtgs
Acim�n�s�rati�e �e�vi��s
Rehab�l�tatiort �er'v��es*
Cam�uter����d M�d7ca7 A��iits
� ME €��l�A �
$ 38,�Q �ach
$ 3{�5,�� e��h
� ��7.�0 each
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PAGF
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$ 1�5.D0 ��ch
�1,08�.3� m�nth
E�a��s �at Av�ilable
� 3.�70 per
bill �udiCe�!
ptus 7� o� 1:��
���t redu�ti�n
� �J��t th� k9�c �f Cf�e 19�3�3 b�d pr�cess, t�e 149Q �o�ts �or �'��abil�tatiorr �er-�
I v�r��=� were ��� �+�aiTab�e, UnderwrTters ��i��rs�Yr�g Com��r�y has �.dvi ��d tf�es�
� s�rv�ces �ill be availabl� ciur�ny 19�0 a� �56.f1q per hour, �h� �a�� ra�t� as
1989.
F I N A#�� I#�G :
5��ff'��ier�i f��r�ds 1.r� c�rry r�uk thi� or��-,y�ar c:t�r�tr��t �r� �v�iTa��e, ir. t€��
lnsur�r�ce �und 7�� Ac��urit No. 1�--73-10, R�sEc h�ar�age�nent, FY �3�-90 �]per��fng
audc��t, Tha expe�rd� �Wr�s wi 11 b� ���e �r�f� Fndex �or�e 3950��.
RF�:ff6
�������a $�
�i� k��Ul�i�i��
$UC+ti+i��fn f[7N 7HC
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